Individual
MRS. AMANDA DENISE GLAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(734) 464-7810
Mailing address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(734) 464-7810
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801097741
MI
Other
Enumeration date
12/31/2018
Last updated
01/31/2020
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